Surgery Center of Dillon PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGERY CENTER OF DILLON PA

Practice address

409 E Madison St
Dillon, SC 29536-2555

Phone

(843) 774-0800

Fax

(843) 774-0499

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Walter B Blum, MD

Title

President

Phone

(843) 774-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1053483743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E MADISON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362555",
            "telephone_number": "843-774-0800",
            "fax_number": "843-774-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E MADISON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362555",
            "telephone_number": "843-774-0800",
            "fax_number": "843-774-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF DILLON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-774-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142027",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John K Stanton Jr., DC
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• Surgery Physician in Dillon, SC
• Providers in Dillon, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.